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1427644640
JENNIFER MICHELLE BASTECKI
DULUTH, GA
NPI
1427644640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN223372)
Enumeration Date
2020-12-13
Last Update Date
2020-12-13
Business Address
JENNIFER MICHELLE BASTECKI FNP-C
11459 JOHNS CREEK PKWY STE 250
DULUTH, GA 30097-3517
Phone number: 770-497-1555
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Mailing Address
JENNIFER MICHELLE BASTECKI FNP-C
350 LA PERLA DR
SUGAR HILL, GA 30518-6161
Phone number: 770-366-8853
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